Description of Event or Problem · 1
ALCON ACS BIOSORB ABSORBABLE SUTURE 6-0 SIZE. ITEM NUMBER 10380658631-14, LOT NUMBER E4J0382. I HAVE USED THIS SUTURE SINCE IT CAME TO MARKET - OVER 7 YRS - , FOR THE PERFORMANCE OF ALL TYPES OF EYE MUSCLE SURGERY. IN THE PAST FEW WEEKS (SINCE OPENING A NEW BOX) I HAVE HAD MULTIPLE PTS WITH INTRAOPERATIVE EVIDENCE OF SUTURE STRETCHING REQUIRING MULTIPLE RE-TIES. THIS PARTICULAR PT UNDERWENT A VERY SMALL RESECTION OF ONE RECTUS MUSCLE WHICH DOES NOT NORMALLY CAUSE MUCH SUTURE TENSION, AND SHE HAD AN ADD'L SUTURING TECHNIQUE FOR REINFORCEMENT KNOWN AS A "CENTRAL SAG" BITE ALTHOUGH THERE WAS NO CENTRAL SAG. AFTER SUBSEQUENT NORMAL SURGICAL MANEUVERS IT WAS NOTED THAT ALL 3 STRANDS OF SUTURE BETWEEN THE MUSCLE AND SCLERA HAD LENGTHENED, WERE VISIBLY ATTENUATED, AND THE MUSCLE WAS HANGING BACK ABOUT 1 MM FROM ITS INTENDED LOCATION. I WILL REPORT THE OTHER PTS SEPARATELY.